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WALGREEN OF HAWAII, LLC.
CH098550 HANA HEALTH
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Covered Entity Details
Entity Name
HANA HEALTH
Subdivision Name
HANA COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH098550
Entity Address
4590 HANA HIGHWAY
HANA, HI 96713-0807
Grant Number
H80CS00290
Participating Start Date
4/1/2003
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN OF HAWAII, LLC.
Pharmacy Address
WALGREENS #15115
700 WAIALE RD
WAILUKU, HI 96793
Pharmacy Comments
Contract Details
Approval Date
7/5/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CHERYL VASCONCELLOS, CEO
(808) 888-5796
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/5/2018
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